| NPI | 1518706316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 268530) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110672) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |