| NPI | 1467586099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MFC 47454) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: Mfc47454) |
| 106H00000X Marriage & Family Therapist (Licence: CA 47454) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-08-25 |