| NPI | 1790183598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83932) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166001108) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2021-03-08 |