| NPI | 1831318245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15166) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 49821) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00168900) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-04-18 |