| NPI | 1871101717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT683) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT34388) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2021-03-30 |