| NPI | 1710449053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 125943) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-01-13 |