| NPI | 1184943029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1062) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86524) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2019-05-28 |