| NPI | 1730375619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2419) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 51455) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2023-12-13 |