| NPI | 1225410137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114822) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95866) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2025-04-08 |