| NPI | 1033675541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123504) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT109127) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2021-01-15 |