| NPI | 1386827483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53087) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF54040) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2021-04-13 |