| NPI | 1871646174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 25674) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VT 100-0000015) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-06-06 |