| NPI | 1629718739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 156780) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 130440) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-08-01 |