| NPI | 1275199762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3666) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001985) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT107979) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-01-24 |