| NPI | 1104425578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113936) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 206582) |
| 106H00000X Marriage & Family Therapist (Licence: FL TPMF1734) | |
| 106H00000X Marriage & Family Therapist (Licence: ND 2026-104) | |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2026-08-11 |