| NPI | 1770857633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86621) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86621) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2022-01-20 |