| NPI | 1861524498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15246) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50929) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-05-11 |