| NPI | 1760835821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106716) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91981) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2022-02-11 |