| NPI | 1144580457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132767) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4721-R) |
| 106H00000X Marriage & Family Therapist (Licence: CA 85282) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2024-02-09 |