| NPI | 1538239710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 7717502-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID MBTMFT-10669) |
| 106H00000X Marriage & Family Therapist (Licence: CA 48565) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2026-01-26 |