| NPI | 1962875948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT120712) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89802) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2021-08-23 |