| NPI | 1548547698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1393) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC28009) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2016-12-02 |