| NPI | 1801926688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 838) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC45743) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-08-31 |