| NPI | 1609173400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001469) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 49416) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2020-03-04 |