| NPI | 1902266513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123772) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA PCCI 2208) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2025-02-14 |