| NPI | 1235781279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116212) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2023-10-30 |