| NPI | 1700890910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-122) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mft27710) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |