| NPI | 1700261286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105390) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79426) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2023-04-24 |