| NPI | 1184899759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 205) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC45511) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2021-11-23 |