| NPI | 1396993424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0959) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 24492) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2023-03-02 |