| NPI | 1962830273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 6782) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 6825) |
| 106H00000X Marriage & Family Therapist (Licence: CA 77455) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2023-06-06 |