| NPI | 1821412586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128097) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 72319) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2025-10-20 |