| NPI | 1376976142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126625) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 127275) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2025-01-15 |