| NPI | 1962057398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128951) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114395) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2025-06-11 |