| NPI | 1548450828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 5744) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47795) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2023-12-26 |