| NPI | 1396091724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99795) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002121) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2023-06-01 |