| NPI | 1245623081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129039) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 92189) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2026-08-21 |