| NPI | 1659794899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 2274) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50744) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2023-09-19 |