| NPI | 1417518788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1925) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123538) |
| 106H00000X Marriage & Family Therapist (Licence: CA 114038) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-03-11 |