| NPI | 1780934356 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99201)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71729)  | 
| Enumeration Date | 2012-09-11 | 
| Last Update Date | 2025-03-31 |