| NPI | 1902282437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123177) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101866) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2020-12-03 |