| NPI | 1245366095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT41964) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 13563657-3902) |
| 174400000X Specialist (Licence: ATR-BC 03-127) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-06-21 |