| NPI | 1356618631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106078) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66428) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2023-06-07 |