| NPI | 1336599372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3277) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83480) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |