| NPI | 1790823995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49817) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF49574) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2026-02-04 |