| NPI | 1760281869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2025010380) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT03395) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2026-06-29 |