| NPI | 1073112058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133430) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA 115268) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2022-07-12 |