| NPI | 1609124726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001801) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86607) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2021-01-01 |