| NPI | 1942508585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49644) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 15562) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2026-04-15 |