| NPI | 1215112453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT4551) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC38858) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2024-02-29 |