| NPI | 1902404189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116636) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61678008) |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2025-10-21 |