| NPI | 1720124928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 1143) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI1143) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-10-17 |