| NPI | 1508911744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-6025) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC28386) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-02-14 |