| NPI | 1376168658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1378) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 42501) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2022-07-27 |