| NPI | 1588938328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCMFT) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2568) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2019-11-14 |