| NPI | 1629596614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2235) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R4875) |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT-9488) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-07-20 |