| NPI | 1588838783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 51916) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA #56067 ( intern #)) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2021-12-10 |