| NPI | 1164963617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109147) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204815) |
| 106H00000X Marriage & Family Therapist (Licence: FL TMPF584) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 0001644) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2024-12-19 |