| NPI | 1063541894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1712) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC50108) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-09-10 |