| NPI | 1356467492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0790) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41776) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-11-29 |