| NPI | 1467746792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53789) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 15207) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2021-01-02 |