| NPI | 1255070058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2939) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 149485) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-01-29 |