| NPI | 1720513872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1617) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98869) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2020-06-20 |