| NPI | 1982904504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2749) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1458) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2015-09-23 |