| NPI | 1881928141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ MFT-0359) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC-28974) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2012-02-20 |