| NPI | 1063274983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 163511) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 143063) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2026-05-25 |