| NPI | 1831465897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145709) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105427) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2026-01-19 |