| NPI | 1972874741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84799) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 12258660-3902) |
| 106H00000X Marriage & Family Therapist (Licence: NV 4560-R) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2025-06-24 |