| NPI | 1033620166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102586) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2587) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2026-05-04 |