| NPI | 1760768964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 82969) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82969) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2023-02-01 |