| NPI | 1790281913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104531) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-03-01 |