| NPI | 1447407838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 912-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 33456) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2012-10-09 |