| NPI | 1265694749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc44855) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 60764124) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-07-19 |