| NPI | 1639629637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119368) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94728) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2022-08-03 |