| NPI | 1902010267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 100-0000011) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 18048) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |