| NPI | 1093831927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10134) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 2083) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-07-21 |