| NPI | 1043697089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125910) |
| Additional Taxonomies | 251S00000X (Licence: CA 71032) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-01-11 |