| NPI | 1205139227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1075) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85402) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2024-04-01 |