| NPI | 1538386503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI 00286) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46151) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-10-23 |