| NPI | 1033244231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT44433) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC44433) | |
| 106H00000X Marriage & Family Therapist (Licence: VT 100.0134023) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-09-12 |