| NPI | 1811751928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123762) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006805) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-05-02 |