| NPI | 1184763518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50163) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF51249) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-04-17 |