| NPI | 1962638387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49263) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 60269764) |
| 106H00000X Marriage & Family Therapist (Licence: TX 203770) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2021-11-09 |