| NPI | 1679996755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 132169) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2025-02-24 |