| NPI | 1497832026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0562) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT39363) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-04-06 |