| NPI | 1366084808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125796) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115502) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2023-01-26 |