| NPI | 1073859013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111108) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 62051) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2020-08-10 |