| NPI | 1124201116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83991) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT0001936) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2023-10-18 |