| NPI | 1215280631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86284) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006496) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2018-10-31 |