| NPI | 1346726288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4615) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91899) |
| 106H00000X Marriage & Family Therapist (Licence: CA 121239) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-05-29 |