| NPI | 1164067039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132110) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00234000) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2025-01-03 |