| NPI | 1821640111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145435) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114256) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-04-25 |