| NPI | 1407133374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME 4701) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77397) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2022-07-21 |