| NPI | 1518359256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116871) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF78513) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2021-08-05 |