| NPI | 1205228798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110260) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT5000) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2026-07-13 |