| NPI | 1063545150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT45604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 44286) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-06-10 |