| NPI | 1124417902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102970) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205989) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2025-05-20 |