| NPI | 1285019984 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145752)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74837)  | 
| 106H00000X Marriage & Family Therapist (Licence: CA 112229)  | |
| Enumeration Date | 2015-07-23 | 
| Last Update Date | 2024-03-27 |