| NPI | 1154868339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 3244) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 39051) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |