| NPI | 1336429893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI #3) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA #17640) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2017-11-17 |