| NPI | 1669494472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LMFT501543533) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17580200765) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-10-03 |