| NPI | 1275933087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126437) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87869) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2022-11-05 |