| NPI | 1770892101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1444) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109391) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2018-09-26 |