| NPI | 1619043148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1103) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC30887) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |