| NPI | 1609197672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106558) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86306) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-06-06 |