| NPI | 1902412109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121720) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002058) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2025-10-27 |