| NPI | 1548799075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137117) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT111983) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-05-01 |