| NPI | 1710763511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 163214) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 141511) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2026-05-08 |