| NPI | 1083857239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC18406) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM LPCC0350) |
| 106H00000X Marriage & Family Therapist (Licence: NM LMFT0349) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |