| NPI | 1518137264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114360) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2024-06-19 |