| NPI | 1952620692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50499) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61073134) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2021-04-06 |