| NPI | 1649014564 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT147446)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist | 
| Enumeration Date | 2024-06-24 | 
| Last Update Date | 2025-02-06 |