| NPI | 1417498510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131723) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 94011) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2022-06-21 |