| NPI | 1720326267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1468) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51313) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2025-12-05 |