| NPI | 1700518073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149342) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124905) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-09-04 |