| NPI | 1245837970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128178) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117795) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2021-10-19 |