| NPI | 1831850692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148272) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204213) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-11-11 |