| NPI | 1811722192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT148204) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT0002664) |
| 106H00000X Marriage & Family Therapist (Licence: TX 205634) | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |