| NPI | 1922522069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120396) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1779-MH-MF) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2021-09-16 |