| NPI | 1144720426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112893) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 2326) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2026-05-29 |