| NPI | 1093312803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150334) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120097) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2026-02-24 |