| NPI | 1861159279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146752) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 129060) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-05-30 |