| NPI | 1487281564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT138666) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LMFT138666) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT110553) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-04-26 |