| NPI | 1053814004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114601) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101720) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2021-11-03 |