| NPI | 1255565867 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44076) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01154) | 
| Enumeration Date | 2009-05-11 | 
| Last Update Date | 2023-09-28 |