| NPI | 1023475035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF99082) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2025-07-22 |