| NPI | 1538630363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150899) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109746) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2026-01-26 |