| NPI | 1861139099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126697) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0002874) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2025-08-18 |