| NPI | 1568908606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131252) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112535) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2022-02-19 |