| NPI | 1265674154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0200791) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60533946) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC# 47140) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2024-12-05 |