| NPI | 1013040260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1504) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44318) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-12-13 |