| NPI | 1770839193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 8604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93755) |
| 106H00000X Marriage & Family Therapist (Licence: MT 72958) | |
| 106H00000X Marriage & Family Therapist (Licence: AZ 16237) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2025-01-03 |