| NPI | 1225420920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100508) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 2034124) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2023-10-27 |