| NPI | 1699255596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 162129) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007681) |
| 106H00000X Marriage & Family Therapist (Licence: WI 2476-124) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2026-06-03 |