| NPI | 1073126777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 157750) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116430) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2025-10-14 |