| NPI | 1629588017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15769) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9659) |
| 106H00000X Marriage & Family Therapist | |
| 106H00000X Marriage & Family Therapist (Licence: CA 122000) | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2022-12-01 |