| NPI | 1790151744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1327) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 30712) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2016-09-06 |