| NPI | 1699098541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0696) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC31959) |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2014-06-21 |