| NPI | 1023613601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 157640) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 2847) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2026-02-23 |