| NPI | 1992911804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0145701) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000408) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-03-27 |