| NPI | 1679946271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124640) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 14208086-3902) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2025-07-24 |