| NPI | 1114207131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46994) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC46994) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2022-07-02 |