| NPI | 1568842219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0147941) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41407) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2018-05-23 |