| NPI | 1629027297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 0402) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT0402) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-07-20 |