| NPI | 1568984185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102179) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204498) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-02-05 |