| NPI | 1326388307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0452) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA MFT1472) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2025-09-28 |