| NPI | 1669954855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2484) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 135624) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-08-19 |