| NPI | 1316346497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT182) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC33952) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |