| NPI | 1245331735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT 45282) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46824) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-06-09 |