| NPI | 1053510636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT 4491) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-4590) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2012-05-09 |