| NPI | 1861634032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 323) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51529) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2012-12-20 |