| NPI | 1205971561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137883) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97845) |
| 106H00000X Marriage & Family Therapist (Licence: CA imf97845) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-12-04 |