| NPI | 1457694135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113745) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF73349) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2021-06-03 |