| NPI | 1457972978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T3126) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 147003) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-07-31 |