| NPI | 1003843251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0730) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC35912) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2015-07-17 |