| NPI | 1538238308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4619) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47194) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-08-28 |