| NPI | 1225622806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138136) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123017) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2023-03-03 |