| NPI | 1598130973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125724) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007218) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2022-11-21 |