| NPI | 1710181359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44494) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC57645) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2026-02-23 |