| NPI | 1619635943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 163564) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129129) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2026-05-26 |