| NPI | 1124239272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1204) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 100) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-08-09 |