| NPI | 1609396407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1436) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AK 157605) |
| 106H00000X Marriage & Family Therapist (Licence: CA 105959) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-12-28 |