| NPI | 1376721480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3001) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41628) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2022-05-26 |