| NPI | 1487087870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 46511) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY KY 103) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001350A) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2017-05-06 |