| NPI | 1720603251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152311) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120648) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-08-06 |