| NPI | 1811290265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15178) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1198) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2016-06-22 |