| NPI | 1669888020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15392) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75580) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2021-12-02 |