| NPI | 1649711128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122312) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109313) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2021-07-26 |