| NPI | 1083775290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0972) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 43561) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-03-04 |