| NPI | 1063277622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122763) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4677-R) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |