| NPI | 1477959955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 11024A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80035) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2016-03-18 |