| NPI | 1891167938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 3043) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000617) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |