| NPI | 1083199459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108544) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 10844) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-10-14 |