| NPI | 1407530124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5339) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 154882) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2025-11-11 |