| NPI | 1962530618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205533) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC46482) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2026-06-01 |