| NPI | 1942595749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3823) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97311) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2021-03-16 |