| NPI | 1174904676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205334) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60711369) |
| 106H00000X Marriage & Family Therapist (Licence: CA 86918) | |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT-8814) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-08-23 |