| NPI | 1366675167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001447) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66893) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2020-08-28 |