| NPI | 1336668771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130112) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110454) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-01-03 |