| NPI | 1922743525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135343) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115384) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2023-02-01 |