| NPI | 1578618666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0086421) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 38437) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |