| NPI | 1023425394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128452) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF103534) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2021-10-21 |