| NPI | 1669865549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114126) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF83454) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2021-05-25 |