| NPI | 1467840454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT41165) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2023-06-28 |