| NPI | 1225546237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103019) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 8395) |
| 106H00000X Marriage & Family Therapist (Licence: UT 14285633-3902) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2026-08-08 |