| NPI | 1235622259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99190) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99190) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-03-31 |