| NPI | 1336285238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1483) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45366) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-06-28 |