| NPI | 1710551296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137720) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124761) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-03-20 |