| NPI | 1730742040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT132095) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT112641) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2022-06-28 |