| NPI | 1477276848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164511) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT5104) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2026-07-27 |