| NPI | 1134377021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0658) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45965) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2010-08-16 |