| NPI | 1215419601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129158) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107537) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2024-05-07 |