| NPI | 1245590884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98257) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2448) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-04-22 |