| NPI | 1811405475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 57682) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2023-02-09 |