| NPI | 1750858171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-16050) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MFT.LF61199773) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2026-01-16 |