| NPI | 1336268796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46253) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 206312) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2026-04-17 |