| NPI | 1033814660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 158529) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT138723) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-05-19 |