| NPI | 1477075208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12508A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 129246) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2024-01-10 |