| NPI | 1336691906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148381) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 142595) |
| 106H00000X Marriage & Family Therapist (Licence: CA 156827) | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2024-08-02 |