| NPI | 1356735898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85649) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204069) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2021-12-08 |