| NPI | 1689936312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000785) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc40231) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |