| NPI | 1548655772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103558) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF82472) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2022-11-29 |