| NPI | 1134493661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61410905) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 94026968) |
| 106H00000X Marriage & Family Therapist (Licence: CA 73901) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2023-08-11 |