| NPI | 1174842876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134629) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 130383) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2022-09-28 |