| NPI | 1467857748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103571) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82714) |
| 106H00000X Marriage & Family Therapist (Licence: CO .0002077) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2023-01-11 |