| NPI | 1548813355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124493) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204985) |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2023-05-08 |