| NPI | 1952439739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0575) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 42357) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-12-14 |