| NPI | 1629410287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96143) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75815) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2025-02-03 |