| NPI | 1043694953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108999) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3914) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2026-04-20 |