| NPI | 1093468696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 35814) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002609) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2026-04-07 |