| NPI | 1497353163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4021) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85903) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |