| NPI | 1194190207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150394) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119336) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2025-09-26 |