| NPI | 1124234208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131775) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43555) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-03-22 |