| NPI | 1588298905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129403) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108007) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2022-01-11 |