| NPI | 1972738722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000650) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI000080800) |
| 106H00000X Marriage & Family Therapist (Licence: DC 000011) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |