| NPI | 1386930279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 2456) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70649) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT110318) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-01-02 |