| NPI | 1306394556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130325) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96565) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2023-04-06 |