| NPI | 1871042366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128139) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 92492) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2022-08-18 |