| NPI | 1508164567 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154689) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01208) | 
| Enumeration Date | 2011-02-28 | 
| Last Update Date | 2025-07-14 |