| NPI | 1194138537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202423) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-03-05 |