| NPI | 1154619955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133404) |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist (Licence: CA 109834) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2022-07-27 |