| NPI | 1154902708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125876) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113155) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-06-01 |