| NPI | 1306348776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133795) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103738) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-01-25 |