| NPI | 1386169035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119400) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99902) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2021-03-09 |