| NPI | 1689217515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT133568) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115016) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT115016) | |
| 106H00000X Marriage & Family Therapist (Licence: TX LMFT205631) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-08-16 |