| NPI | 1417614579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123881) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2014006569) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2024-01-11 |