| NPI | 1184862823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT 10280) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFC 31519) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2010-06-17 |