| NPI | 1467658609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: CA 97999) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF66101) |
| 106H00000X Marriage & Family Therapist (Licence: CA 97999) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 97999amft) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-05-31 |