| NPI | 1831580927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LMFT109396) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85229) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2024-02-01 |