| NPI | 1053855890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR MFT T1231) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc 37699) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |