| NPI | 1871107417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152908) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 206123) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-10-15 |