| NPI | 1154528461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46426) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45170) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-01-17 |