| NPI | 1467675686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 7291) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96309) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-08-13 |