| NPI | 1215654868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1436) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 4788) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2025-11-16 |