| NPI | 1255539128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49616) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 61067042) |
| 106H00000X Marriage & Family Therapist (Licence: MA 1897-MH-MF) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 2765) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-12-06 |