| NPI | 1750401980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC24411) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01529) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-09-04 |