| NPI | 1316060858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0079591) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 20075) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |