| NPI | 1417514258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129082) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT111427) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2022-12-09 |