| NPI | 1962859934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108605) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2023007669) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2025-09-29 |