| NPI | 1417699604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT140530) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127336) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-01-31 |