| NPI | 1528629615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 156572) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF1984) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2026-09-18 |