| NPI | 1609182799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-5478) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LAMFT-4330) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2022-07-04 |