| NPI | 1053741777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 111293) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77394) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2025-03-04 |