| NPI | 1598987422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001239) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 31074) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-03-16 |