| NPI | 1003340134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155599) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001327) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2025-08-01 |