| NPI | 1790166783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114353) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91705) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-02-13 |