| NPI | 1578017729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119363) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF93209) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2021-07-19 |