| NPI | 1548395478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001230) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTIntern, IMF 49868) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-12-08 |