| NPI | 1124594106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106917) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA LMFT106917) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-05-21 |