| NPI | 1437580388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1043) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF76309) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2015-06-15 |