| NPI | 1265870646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123938) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79388) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-01-15 |