| NPI | 1225157381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3225) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC49066) |
| 106H00000X Marriage & Family Therapist (Licence: FL 3225) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-11-23 |