| NPI | 1629621420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139695) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112335) |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2023-06-02 |