| NPI | 1528698750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 158432) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 127893) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2025-10-01 |