| NPI | 1306398144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001552) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48296) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2018-08-22 |