| NPI | 1801136478 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 200001226) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52983) | 
| Enumeration Date | 2013-02-19 | 
| Last Update Date | 2022-09-02 |