| NPI | 1811173388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139475) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0998) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2024-06-19 |