| NPI | 1902267933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001245) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41150) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |