| NPI | 1134428063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86403) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 132364) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2025-08-04 |