| NPI | 1073663639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 38557) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC38557) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-10-25 |