| NPI | 1861760001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1152) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89122) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2017-03-21 |