| NPI | 1043334675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2697) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC46668) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2014-01-10 |