| NPI | 1558199976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1060) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT41591) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-08-10 |