| NPI | 1063539369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121499) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT0003080) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2026-05-04 |