| NPI | 1982695995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0070651) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 36741) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-09-11 |