| NPI | 1154743235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96416) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71749) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2025-08-12 |