| NPI | 1801453410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148911) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104316) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-08-23 |