| NPI | 1881068542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124965) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 90252) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2022-09-29 |