| NPI | 1003380049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89459) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH 1600014) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2019-01-13 |