| NPI | 1093012080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC43065) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI LPC1851) |
| 106H00000X Marriage & Family Therapist (Licence: FL LMFT1862) | |
| 106H00000X Marriage & Family Therapist (Licence: WI LMFT421) | |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2016-06-13 |