| NPI | 1265819023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110309) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93872) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2021-01-21 |