| NPI | 1801303011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1832) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT82216) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2023-11-13 |