| NPI | 1790186534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104470) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 81676) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2021-05-18 |