| NPI | 1013260678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139666) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97683) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2023-06-12 |