| NPI | 1598406019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113101) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 3259-R) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |