| NPI | 1306494265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128601) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113386) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2024-02-20 |