| NPI | 1205042942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 572) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA M14389) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |