| NPI | 1578959680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15380) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101099) |
| 106H00000X Marriage & Family Therapist (Licence: CA 88258) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-10-17 |