| NPI | 1699484550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45578) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-273) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |