| NPI | 1225129950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1017) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 00219) |
| 106H00000X Marriage & Family Therapist (Licence: CA 50275) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-07-24 |