| NPI | 1598831463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0673) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 20395) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2012-01-12 |