| NPI | 1225762073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152741) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 133630) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2025-03-18 |