| NPI | 1235795006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134211) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT111821) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2022-09-21 |