| NPI | 1629505771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115633) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204640) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-08-02 |