| NPI | 1083734115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 51356) |
| 106H00000X Marriage & Family Therapist (Licence: CA 72526) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-07-29 |