| NPI | 1174855035 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1954) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF68423) | 
| 106H00000X Marriage & Family Therapist (Licence: CA IMF84481) | |
| Enumeration Date | 2010-02-03 | 
| Last Update Date | 2024-10-30 |