| NPI | 1578932646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1705) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: OR T1705) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2025-02-19 |