| NPI | 1245549310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0694) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC34765) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |