| NPI | 1013791045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153927) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 14278341-3902) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2026-04-16 |