| NPI | 1144512138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC38013) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C-4921) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-10914) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2021-11-02 |