| NPI | 1609290170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT78537) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CA LMFT 78537) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2025-06-30 |