| NPI | 1649801416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132088) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 13460522-3902) |
| 106H00000X Marriage & Family Therapist (Licence: NV 4477-R) | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-02-20 |