| NPI | 1598358582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT 45928) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120456) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-05-24 |