| NPI | 1134580368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155758) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: CA 155758) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2025-10-09 |