| NPI | 1871137703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148954) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT112732) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2024-09-16 |