| NPI | 1164639589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112650) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74344) |
| 106H00000X Marriage & Family Therapist (Licence: CA 112670) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-03-22 |