| NPI | 1972005106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126059) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF91809) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT91809) | |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2021-07-15 |