| NPI | 1376984575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113257) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF84030) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2021-01-05 |