| NPI | 1366560187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47842) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 51238) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-12-02 |