| NPI | 1831307198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 71) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41582) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2012-10-15 |