| NPI | 1477797504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT15206) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV M10126) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2018-02-28 |