| NPI | 1881144848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5031) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95291) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2025-05-15 |