| NPI | 1750767562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83892) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203661) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-03-28 |