| NPI | 1629486048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT100824) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79437) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2021-09-23 |