| NPI | 1184900912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86774) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 2908-R) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2024-09-26 |