| NPI | 1386925220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106062) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 72390) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2022-08-03 |