| NPI | 1124191689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC39415) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MFT 0799) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |