| NPI | 1619394731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150971) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT intern 59851) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-10-30 |