| NPI | 1174711121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM CMF02116951) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2026-08-23 |