| NPI | 1164628772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53158) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001295) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-01-04 |