| NPI | 1245417997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91936) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55694) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2022-11-22 |