| NPI | 1720641400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128726) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 791) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-03-05 |