| NPI | 1942701107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3662) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001601) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2019-10-22 |