| NPI | 1700468394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142705) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123423) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-11-09 |