| NPI | 1598038747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 66653) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79275) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2021-04-12 |