| NPI | 1609188374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86712) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 86712) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2022-03-30 |