| NPI | 1265173504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164636) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 130797) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2026-08-12 |