| NPI | 1861741308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96876) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76794) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2025-07-01 |