| NPI | 1225236219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 79622) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001740) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2025-09-25 |