| NPI | 1083257455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145317) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113887) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2024-07-10 |