| NPI | 1063589356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 47197) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB94027033) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2026-01-29 |