| NPI | 1003160615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001442) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69843) |
| 106H00000X Marriage & Family Therapist (Licence: CA 93271) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2021-05-27 |