| NPI | 1104547678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138917) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4440) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-04-15 |