| NPI | 1346643335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-10404) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2016-10-24 |