| NPI | 1811434582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99277) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF84173) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2025-03-04 |