| NPI | 1548619554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124483) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT78029) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-04-29 |