| NPI | 1407305857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129800) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95474) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2021-12-22 |