| NPI | 1710641188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146024) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002173) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2025-09-19 |