| NPI | 1528084993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109568) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1026) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-05-15 |