| NPI | 1760101430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106178) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 128778) |
| 106H00000X Marriage & Family Therapist (Licence: TX 204735) | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-01-22 |