| NPI | 1831624360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116554) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98506) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2020-05-27 |