| NPI | 1073719563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103263) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 06000900) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-12-04 |