| NPI | 1508112707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51163) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID MFT7109) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2022-08-03 |