| NPI | 1902246879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1528) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 971) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-10-15 |