| NPI | 1649643818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86010) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2021-03-29 |