| NPI | 1699149930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52843) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001783) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2025-03-05 |