| NPI | 1215228051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110168) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73676) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2025-12-26 |