| NPI | 1184491771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147710) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001697P) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2025-06-16 |