| NPI | 1336628700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT124017) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108156) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2021-01-26 |