| NPI | 1215088398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT 46) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001207) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-10-13 |