| NPI | 1851054589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT128722) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3534) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-06-10 |