| NPI | 1912455403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126038) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95014) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2025-01-17 |