| NPI | 1538728134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131122) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114029) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2022-12-09 |