| NPI | 1578933354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112355) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA #76494) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2023-06-15 |