| NPI | 1124702956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT36853) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002196) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |