| NPI | 1295079200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88847) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF67042) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2022-05-01 |