| NPI | 1003942582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT 43136) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 4513) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-02-24 |