| NPI | 1710473830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135188) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114073) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-05-01 |