| NPI | 1700338985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115214) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96043) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2021-11-15 |