| NPI | 1568517621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0469) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MJ24121) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-03-01 |