| NPI | 1093872137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC24808) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F0000112) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2019-01-28 |