| NPI | 1114164829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0613) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MC37016) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |