| NPI | 1952607830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 922-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 209-228) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2012-10-31 |