| NPI | 1659442853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: TX 0288) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT0088) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC8047) | |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2007-07-08 |