| NPI | 1588726475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT39053) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2025-04-16 |