| NPI | 1891966602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47586) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 1472) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2020-08-31 |