| NPI | 1194866152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0071601) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 38898) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2008-07-30 |