| NPI | 1588455562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LMFT154980) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 154980) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |