| NPI | 1265846505 |
|---|---|
| Professional Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88310) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102807) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2023-11-20 |