| NPI | 1376867903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1071) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 54710) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2015-11-30 |