| NPI | 1104476902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 3950) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC0004736) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT102440) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2021-10-12 |