| NPI | 1588216709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130238) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113664) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-01-05 |