| NPI | 1982827879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2656) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC46070) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-11-03 |