| NPI | 1215138862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114152) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62189) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-03-25 |