| NPI | 1437416633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC 00233) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |