| NPI | 1659659266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97915) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 262006) |
| 106H00000X Marriage & Family Therapist (Licence: TN 1489) | |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2020-02-07 |