| NPI | 1184822272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50030) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.1200004) |
| 106H00000X Marriage & Family Therapist (Licence: OH F1200004-Supv) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-01-16 |