| NPI | 1932590403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147354) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2024-08-07 |