| NPI | 1508045220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44895) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001804) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2026-03-24 |