| NPI | 1003835976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2279) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC37654) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-03-28 |