| NPI | 1124210943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134562) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0085251) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2024-05-06 |