| NPI | 1518128156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0168181) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52013) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2019-03-26 |