| NPI | 1790177301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105665) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA INTERN # 71499) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-02-23 |