| NPI | 1619270311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2014009429) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77579) |
| Enumeration Date | 2010-12-18 |
| Last Update Date | 2018-08-11 |