| NPI | 1811557184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT113584) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 4234) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-10-28 |