| NPI | 1376908467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0193) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51013) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2016-01-04 |