| NPI | 1205021375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106339) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102703) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2025-02-20 |