| NPI | 1164550521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1591) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45869) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-05-09 |