| NPI | 1164557518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126315) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89817) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-07-13 |