| NPI | 1710342969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101318) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101318) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2023-04-19 |