| NPI | 1528124997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT43669) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC43669) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-09-25 |