| NPI | 1083200026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132413) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT120439) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2022-06-29 |