| NPI | 1679216352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT8470) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT42302) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |