| NPI | 1750723961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 7886) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85617) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2023-04-04 |