| NPI | 1053782862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115424) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 3530) |
| 106H00000X Marriage & Family Therapist (Licence: DC 200001333) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2025-02-04 |