| NPI | 1023177045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1302) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT25363) |
| 106H00000X Marriage & Family Therapist (Licence: NM CMF0215981) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2021-06-16 |