| NPI | 1346847613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128391) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113323) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-11-16 |