| NPI | 1548692403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107311) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 75144) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2023-08-14 |