| NPI | 1629434766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85210) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124280) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2024-09-23 |