| NPI | 1023187275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45789) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF40145) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-05-20 |