| NPI | 1114557485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2485) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114506) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2025-12-17 |