| NPI | 1952663387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1654) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101569) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-05-03 |