| NPI | 1992726061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0183931) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT51099) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2019-08-01 |