| NPI | 1275607665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC31975) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MFT0671) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |