| NPI | 1164937454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119208) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93243) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2022-10-13 |