| NPI | 1417310400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107487) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 92270) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2021-10-01 |