| NPI | 1548693419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15213) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51624) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2024-02-06 |