| NPI | 1356543003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115056) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74967) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-03-22 |