| NPI | 1831682517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 103077) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103077) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |