| NPI | 1245680727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134116) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99869) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-10-19 |