| NPI | 1205953791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC51781) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF61603) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-11-22 |