| NPI | 1679180764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC35135) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-10-01 |