| NPI | 1225148372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44586) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01340) |
| 106H00000X Marriage & Family Therapist (Licence: UT 6719220-3902) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-12-01 |