| NPI | 1396456802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105826) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 10000417) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2025-08-21 |