| NPI | 1063530285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0596) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40724) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-07-15 |