| NPI | 1467931964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120717) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2025-08-12 |