| NPI | 1275909640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110182) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001524) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2022-06-30 |