| NPI | 1619335643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125740) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73201) |
| 106H00000X Marriage & Family Therapist (Licence: CA 109954) | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2021-07-22 |