| NPI | 1598117996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 8046) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 134591) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2026-01-22 |