| NPI | 1871646950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0164941) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 49836) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-04-09 |