| NPI | 1417200312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97547) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71238) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2024-04-09 |