| NPI | 1124439187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117198) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 76786) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-01-21 |