| NPI | 1154689792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51494) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61241036) |
| 106H00000X Marriage & Family Therapist (Licence: NM 0190051) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-01-17 |