| NPI | 1508146002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001408) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT83315) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2015-10-15 |