| NPI | 1093328411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142038) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119878) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2024-01-16 |