| NPI | 1144389354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0440) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR T0440) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-06-23 |