| NPI | 1740508787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99387) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68089) |
| 106H00000X Marriage & Family Therapist (Licence: UT 13113783-3902) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2023-12-18 |