| NPI | 1154597235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-7277) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5222) |
| 106H00000X Marriage & Family Therapist (Licence: CO 869) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2022-01-03 |