| NPI | 1982314902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 9187) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 133747) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |