| NPI | 1588138945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134265) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110042) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2022-08-31 |