| NPI | 1740872035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144515) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205582) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2026-05-06 |