| NPI | 1669972964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101249) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1349) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2021-07-05 |