| NPI | 1215262365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2011036704) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 47480) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2015-09-16 |