| NPI | 1619259082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90977) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61260064) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2022-09-02 |