| NPI | 1164810859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53622) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1862) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2024-09-27 |