| NPI | 1578344131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 82030) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202779) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |