| NPI | 1023764719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153915) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 130820) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2026-06-30 |