| NPI | 1245018522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 37352) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT37352) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-06-07 |