| NPI | 1083486112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164324) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 141700) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2026-07-01 |