| NPI | 1851517494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 31715) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT31715) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-02-26 |