| NPI | 1013058403 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 46678)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist | 
| Enumeration Date | 2007-02-09 | 
| Last Update Date | 2024-01-30 |