| NPI | 1639897770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144349) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.2600588) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2026-07-07 |