| NPI | 1477061398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 124650) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103110) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2024-03-26 |