| NPI | 1558758078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 86398) |
| 106H00000X Marriage & Family Therapist (Licence: OR T1168) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2022-03-22 |