| NPI | 1104925940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51628) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1330) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-09-27 |