| NPI | 1447331640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1614) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46849) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-05-30 |