| NPI | 1487195897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124664) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98769) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2021-04-08 |