| NPI | 1003335654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 12789279-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123258) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-09-07 |