| NPI | 1205901295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 44695) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F0700007) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-11-28 |