| NPI | 1710659099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT143870) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 121079) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2024-01-12 |