| NPI | 1568624625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43286) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1925) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-05-20 |