| NPI | 1336619808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134552) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110467) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2023-03-10 |