| NPI | 1184966764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84056) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69059) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-02-24 |