| NPI | 1679002620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127641) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 8671562) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2026-03-20 |