| NPI | 1265865026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97010) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2259) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2024-03-13 |