| NPI | 1154609261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 8188642-3904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-9063) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF66909) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2022-10-05 |