| NPI | 1124395413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT28654) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1997) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2022-06-12 |