| NPI | 1841052495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151400) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 138) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-02-18 |