| NPI | 1619380409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102623) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T3216) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2025-08-18 |