| NPI | 1982832804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2593) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT 1299) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2012-04-17 |