| NPI | 1487922704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 14058265-3902) |
| 106H00000X Marriage & Family Therapist (Licence: ID 3861964) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2024-09-04 |