| NPI | 1790062214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC41836) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LPC1420) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |