| NPI | 1154770519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136765) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101532) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-12-29 |