| NPI | 1285247254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130159) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 21209) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2026-07-18 |