| NPI | 1417295734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126242) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110371) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2021-06-09 |