| NPI | 1518149764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 552) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45050) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2018-05-29 |