| NPI | 1740753706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103846) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT109776) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2022-03-29 |