| NPI | 1679711915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0598) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 44391) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |