| NPI | 1952703563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF78469) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203733) |
| 106H00000X Marriage & Family Therapist (Licence: CA 104387) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2022-04-04 |