| NPI | 1093366965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113548) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 131633) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2022-03-29 |