| NPI | 1992250781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122451) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100435) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2022-05-20 |