| NPI | 1639620727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119211) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 13147164-3902) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-06-05 |