| NPI | 1972805307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120316) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF6054829) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2020-08-04 |