| NPI | 1932623766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134634) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112492) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-09-20 |