| NPI | 1316066962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM T-0128161) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC45985) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-02-04 |