| NPI | 1154345171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0916) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT37915) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-11-15 |