| NPI | 1154532638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 25) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 29250) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |