| NPI | 1174259493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155616) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 129241) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-07-16 |