| NPI | 1134419716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87916) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202765) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2021-08-16 |