| NPI | 1730644972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119870) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91484) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2024-02-09 |