| NPI | 1568803153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 74486) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105842) |
| 106H00000X Marriage & Family Therapist (Licence: CA 105824) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2021-06-22 |