| NPI | 1912534371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116653) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 946) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-03-23 |