| NPI | 1649667288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138908) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA Imft 83842) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-07-22 |