| NPI | 1558819466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111616) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2026-04-15 |