| NPI | 1730219379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MFC47630) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46298) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-09-25 |