| NPI | 1609995745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1865) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42618) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-01-22 |