| NPI | 1104008192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52818) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 54234) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2021-07-11 |