| NPI | 1164948063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112865) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87341) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |