| NPI | 1376972455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109664) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74041) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2021-03-29 |