| NPI | 1639955123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 140365) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 140365) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2025-09-02 |