| NPI | 1861639668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138688) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-0456) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF61287187) | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2024-10-09 |