| NPI | 1013347863 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110170)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 10119)  | 
| Enumeration Date | 2013-11-14 | 
| Last Update Date | 2025-09-17 |