| NPI | 1184833881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 890) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT140) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC36793) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-09-24 |