| NPI | 1326256108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15784) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10307) |
| 106H00000X Marriage & Family Therapist (Licence: IL 208-000060) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-08-03 |