| NPI | 1326443177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97502) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002316) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2025-05-21 |