| NPI | 1134769490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141158) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110216) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-04-27 |