| NPI | 1578581609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1053) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 36353) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |