| NPI | 1043554785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 177441) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01392) |
| 106H00000X Marriage & Family Therapist (Licence: CA 120407) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 65371) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2022-07-27 |