| NPI | 1285234583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138869) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105266) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2023-03-28 |