| NPI | 1396944146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112643) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47435) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-02-04 |