| NPI | 1750752457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107401) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 92345) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-12-06 |