| NPI | 1508268806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101811) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 74829) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2023-06-21 |