| NPI | 1396232716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1559) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108737) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2020-01-28 |