| NPI | 1639847908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77749) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 2891-R) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |