| NPI | 1962980920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131230) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT105592) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-03-01 |