| NPI | 1356661227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 84128) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1718) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2021-02-13 |