| NPI | 1982028049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002053) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107202) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2026-03-23 |