| NPI | 1780908954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0817) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45735) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2015-03-12 |