| NPI | 1780977298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111741) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4286-R) |
| 106H00000X Marriage & Family Therapist (Licence: UT 13748840-3902) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2025-06-24 |