| NPI | 1245361211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1588) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48260) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-10-22 |