| NPI | 1275997041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106719) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF76880) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-12-27 |