| NPI | 1528314358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2165) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103282) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2026-09-01 |