| NPI | 1063628014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 153) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 32776) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-05-15 |