| NPI | 1790163350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 441) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 15998) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |