| NPI | 1720396229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0129461) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 31640) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2013-03-28 |