| NPI | 1760713937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112638) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204949) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2025-10-03 |