| NPI | 1538352893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53210) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF500) |
| 106H00000X Marriage & Family Therapist (Licence: NY 002165) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2023-11-10 |