| NPI | 1194016998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 590) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85661) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2019-10-01 |