| NPI | 1730629494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1953) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91391) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2022-01-07 |