| NPI | 1730803305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-9147) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID MFTI-9148) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-06-29 |