| NPI | 1366853657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151058) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2856) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-11-15 |