| NPI | 1467944314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130285) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-10-25 |